Ukulungiswa kakuhle kwemilenze kuqinisekisa ukugcinwa kwesigxina somzimba kunye neendleko eziqhelekileyo. I-Clubfoot yintsholongwane yenkqubo ye-musculoskeletal, apho unyawo lukhubazekile khona. Ipheka kwi-axitudinal axis ye-inside ngaphakathi kwii-angles ezahlukeneyo, kuxhomekeke kubukhulu besifo.
Clubfoot kubantwana - iimpawu
I-symptomatology yale ntsholongwane ibonakala ngokucacileyo nokuba ibonakale, ngoko ke umgulane onamava oza kuthiwa uza kufumana ukuxilongwa ngokuchanekileyo nangona uhlolwe. Indlela yokuchonga i-clubfoot kumntwana:
- ukuguquka kwedwa ngaphakathi;
- Iimilenze zombini ziphendukele omnye komnye;
- ukuxhamla;
- wakhulisa umda wangaphakathi wangena ngaphakathi.
- ukukhawuleka kokuhamba kunye nokungabikho kwemisebenzi ethile yokudibana kwesikhumba;
- ukuguquka, ukunqumla kwonyawo kwinqanaba le-plantar;
- ukufuduka kwesithende phezulu;
- ukwanda kwinqanaba lomlenze;
- ukuthunjwa kwamathambo ama-shin;
- ukukhathala ngokukhawuleza, intlungu xa uhamba.
Isilinganisi sobunzima beempawu ezidwelisweyo, umntwana unokufumana kuphela ukubonakaliswa kweeklinikhi ezahlukeneyo. Kubalulekile ukufumanisa i-clubfoot kubantwana ngexesha elifanelekileyo, unyango lwamanyathelo okukhubazeka kulula kumanyathelo okuqala. Ngonyango olufanelekileyo, isiphene sinokupheliswa ngokupheleleyo ngoncedo lweendlela ezizimeleyo, ngaphandle kokungenelela kokungenelela.
Kutheni umntwana ehlutha?
Iimeko ezibangela ingxaki ekubhekiselwe kuyo zihlulwa ngokwemvelaphi yazo. Iimbangela ze-clubfoot kubantwana zingaba zintlungu kwaye zifunyenwe. Kwimeko yokuqala, iimpawu zesifo ziyafumaneka ngexesha lokuphuhliswa kwe-intrauterine, ukukhubazeka kweenyawo kubonakala nge-ultrasound. Izifo ezifunyenwe zizifo ezineminyaka engama-1-3 kwaye zihlala zihoywa ngabazali ngenxa yokuba nethemba lokuba umntwana "uya kuphuma".
I-Congenital Clubfoot yabantwana
Akunqabile ukuseka imvelaphi eyiyo ye-deformation yeenyawo, kwiimeko ezingama-20 kwi-100.
- amniotic;
- i-toxemia enkulu ngexesha lokukhulelwa;
- kunqongophala kwamanzi ;
- ukuxuba komzimba womzimba we-embryo kunye negobolondo elikhuselekileyo (amnion);
- ukusuleleka kwintsholongwane kaGawulayo.
- ukunyanzeliswa kwe-uterine musculature ukuya kumntwana;
- beriberi;
- izifo zofuzo;
- unyango lwezilwanyana ezinamandla ngexesha lokukhulelwa;
- Ukutshaya, utshwala kunye nezinto ezinobuthi ngexesha lokukhulelwa;
- indawo engalunganga yomntwana;
- imeko ezimbi;
- Izimo zokusebenza eziyingozi zikayise okanye unina nabanye.
Kungakhathaliseki ukuba kutheni i-club club yokuzalwa yabantwana ikhulile kubantwana, unyango lufanele luqale ngokukhawuleza emva kokuxilongwa. Ngonyango olufike ngexesha, unako ukuphelisa ngokupheleleyo intsholongwane ngaphambi kokuba umntwana uneminyaka engama-4 ubudala. Ukuba awuyi kuthatha nawaphi na amanyathelo, utshintsho kumathambo kunye namalungu, ukunyuka kweenyawo kuya kupheliswa kwaye kufuna ukungenelelo ngoncedo.
Kutheni umntwana eqala xa efunda ukuhamba?
Imeko echazweyo ayiyiyo imfuyo. Okokuqala, umntwana usuke ekhululekile kakhulu ukugcina uzinzo ngokuguqula iisokisi ngaphakathi, ngenxa yokuma kwamadolo kunye namajoni. Kule meko, unyango alufunwa, ingxaki iya kupheleka xa umntwana eqala ukuhamba ngokuzithemba. Unyango luyimfuneko ukuba kukho ezinye izizathu ze-clubfoot ezifunyenweyo:
- iziphoso zokuzalwa;
- i-dysplasia yamathambo namalungu;
- poliomyelitis;
- iinkqubo ezivuthayo zomzimba emzimbeni;
- zithinteka, nangona hlobo olubi.
Kutheni umntwana ehlala ezicathulo?
Ukuba inzuzo yomntwana iyatshintsha kuphela xa ishiya isitalato, kunye nenkqubo yokuhamba yonke into iyahlelwa. Isizathu se-clubfoot kubantwana kule meko zikhethiweyo ezikhethiweyo:
- inkulu okanye incinci;
- isihlangu;
- itekisi elithambileyo okanye umva;
- ukunqongophala kweenyawo;
- ukuphakama okuphezulu okanye okuphantsi;
- izicathulo ezincinci okanye ezikhulu;
- ukuxubha;
- iqinile, isitampu esomeleleyo.
Kutheni umntwana ehlala emlenzeni omnye?
Isizathu esivakalayo sale ngxaki ngumonakalo osebenzayo kumanqina. Ukuba umntwana uhamba ngeenyawo enye, kufuneka ukhangele ukuba unayo ingqolowa, imivimbo okanye iintlobo, inxeba elukhumbeni. Emva kokuphilisa, umvuzo wengane uhlala uqobo. Kubalulekile ukwesaba xa kukho i-clubfoot engabandakanyekiyo kubantwana, unyango lufuneka kula maxesha alandelayo:
- ukuxuba kwamathambo emva kokuphuka;
- uxinzelelo lweengxube zomlenze;
- izakhi kunye namalungu;
- iinyawo ezinzima;
- poliomyelitis;
- neuralgia;
- izicubu zeethambo kunye namathambo.
Indlela yokulungisa i-clubfoot kumntwana?
Ngenxa yokuphumelela kweyeza zanamhlanje, ukukhubazeka kweenyawo akunakwenzekayo kubantwana abaneminyaka esikolweni. Izindlela eziphumelelayo zokuphilisa i-clubfoot kumntwana, zenziwa kwiintsuku zokuqala zobomi bomntwana. Ngeminyaka engama-4-5 okanye ngaphambili, kuxhomekeke kwisilinganiselo sokukhawuleka, isifo sinokupheliswa ngokupheleleyo. Izindlela zokonyango ze-clubfoot kubantwana:
- ukupaka ("amabhuthi", ukulangazelela);
- ukungafihli kwamalungu kunye nabaqeqeshi;
- zokuhlamba;
- izicelo zeparafini;
- iilenki ze-toxin ye-botulin;
- kinesiotherapy;
- ukugqoka izicathulo ezizodwa;
- unyango olusesikweni (ukuhlalisa);
- gymnastics.
- yokuhlinzwa ()
Kwiimeko ezinzima kwaye xa indlela yokulondoloza ingabonakali, ukulungiswa kwe-clubfoot kubantwana kuqhutyelwa ngoncedo lokuhlinzwa, ngexesha apho amathambo, amanxeba kunye nezixhobo zetendon zelunya zilungiswa. Unyango kufuneka lukhethwe ngabanye kuphela ngogqirha wamazinyo owaziwa ngamava, iimvavanyo ezizimeleyo zokulungelelanisa indawo yeenyawo zingakhokelela kwiingxaki.
Izicathulo ze-clubfoot kubantwana
Ukubuyisela ixabiso elifanelekileyo, kuyimfuneko ukulungisa iinyawo zentsana kwindawo efunwayo. Izicathulo zomzimba we-antiviral ne-clubfoot kubantwana zibizwa ngokuba yi-brace. Ezi zikhethi eziphezulu ezikhethekileyo (kukho iindlela zehlobo), ukugqoka oko kukucetyiswa emva kwonyango nge-gypsum. Izibhengezo ze-clubfoot kubantwana kufuneka zibe ngaphandle kwexesha, zonke ii-braces zinempawu ezilandelayo:
- ukusabalalisa ngokufanayo komthwalo kwimilenze;
- emva kanzima;
- bits
- Izibophelelo ezilungisiweyo, iVelcro okanye iinqaba;
- inzondo e
- ukulungiswa kwesantya sangaphambili nangaphakathi;
- ububanzi kwaye buzinzile, kodwa luyiyo kuphela.
Ukuzihlaziya kunye ne-clubfoot kubantwana
Ukunyangwa kwemiqulu kukunceda ukususa i-hypertonia ye-muscle kwaye ngokukhawuleza kulungele indawo yeenyawo. Kuphela ngoncedo lokusilalisa akunakunqanda i-clubfoot kubantwana, unyango lufanele lube lubanzi. Kwindlela yokuqala yokusetyenziswa kweengcebiso kwenzelwa kuphela ngongcali onamava. Ukuba abazali bakhumbula le ndlela kwaye banokuphinda, unyango ekhaya luvumelekile. Oo-orthopedists bacebisa ukuba batyelele umaster ofanelekileyo, kuba ngexesha leseshoni umntwana kufuneka abe kwindawo ethile, enomgca ongaphandle ophezulu.
Ukusebenzisa unyango kwi-clubfoot kubantwana, ukuzivocavoca
I-Gymnastics yindlela yokwenza inkxaso yonyango, ilungisa iziphumo ezifunyenwe kule ndlela ilapha ngentla. Ukuqeqesha ngokwenyama kubandakanya ukukhusela i-clubfoot ephindaphindiweyo kubantwana, olunjalo unyango lunokusetyenziswa njengokuthintela ukuphindaphinda kunye neenyawo ezintle, ukwakheka komkhwa wokubeka ngokufanelekileyo iinyawo xa uhamba. Okokuqala, i-gymnastics yenziwa phantsi kolawulo lwe-orthopedist, emva koko ungayenza ekhaya.
Izenzo ezilula ze clubfoot kubantwana:
- Ukuhamba kwizithende neenzwane. Iisokisi kufuneka zichithwe ngendlela eyahlukileyo.
- Umkhosi. Kubalulekile ukuhamba, ukuphakamisa amadolo akho aphezulu.
- Isicatshuli. Ukuhamba kunye nentonga yokugcoba (phantsi).
- Iphunga. Gcina iinyawo zakho kunye. Ukuqhafaza izithende, ngokubanzi kunokwenzeka ukuthabatha iinzwane ngaphandle. Amanyathelo ambalwa ukuya kumitha ambalwa.
- Umqokeleli. Iminwe yonyawo ithatha izinto ezincinci ukusuka emzantsi uze uziguqule kwenye indawo.